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Review
. 2014 Oct;3(5):247-58.
doi: 10.3978/j.issn.2304-3881.2014.09.06.

Pancreatic surgery: evolution and current tailored approach

Mario Zovak  1 , Dubravka Mužina Mišić  1 , Goran Glavčić  1
Affiliations
Review

Pancreatic surgery: evolution and current tailored approach

Mario Zovak et al. Hepatobiliary Surg Nutr. 2014 Oct.

Abstract

Surgical resection of pancreatic cancer offers the only chance for prolonged survival. Pancretic resections are technically challenging, and are accompanied by a substantial risk for postoperative complications, the most significant complication being a pancreatic fistula. Risk factors for development of pancreatic leakage are now well known, and several prophylactic pharmacological measures, as well as technical interventions have been suggested in prevention of pancreatic fistula. With better postoperative care and improved radiological interventions, most frequently complications can be managed conservatively. This review also attempts to address some of the controversies related to optimal management of the pancreatic remnant after pancreaticoduodenectomy.

Keywords: Pancreatic cancer; pancreatic anastomosis; pancreatic fistula; pancreatic resection; total pancreatectomy.

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Figures

Figure 1
Figure 1
Different ways of doing the anastomosis for a pancreaticoduodenectomy. (A) End-to-side pancreaticojejunostomy; (B) oversewing of the pancreatic remnant; (C) end-to-end pancreaticojejunal invagination
Figure 2
Figure 2
Pancreaticogastrostomy.
See this image and copyright information in PMC

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